问题
单项选择题 案例分析题
男性，48岁，无高血压病史，与他人剧烈争吵后突发剧烈头痛，呕吐伴烦躁不安5天，入院查体：BP140/90mmHg，P100次／分钟，R120次／分钟，T37.5℃，神志淡漠，四肢活动正常，颈抗（+），余神经系统检查（-）。
若CT阴性应进一步行（）
A.MRI
B.MRA
C.核素扫描
D.腰穿
E.头Xray平片
答案
参考答案：D
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男性，48岁，无高血压病史，与他人剧烈争吵后突发剧烈头痛，呕吐伴烦躁不安5天，入院查体：BP140/90mmHg，P100次／分钟，R120次／分钟，T37.5℃，神志淡漠，四肢活动正常，颈抗（+），余神经系统检查（-）。
若CT阴性应进一步行（）
A.MRI
B.MRA
C.核素扫描
D.腰穿
E.头Xray平片
参考答案：D
When I was a teenager, my dad did everything he could do to advise me against becoming a brewer (造酒人). He’d 36 his life brewing beer for local breweries only to make a living, 37 had his father and grandfather before him. He didn’t want me 38 near a vat (酿酒用的桶) of beer. So I did as he asked. I got good 39 , went to Harvard and in 1971 was accepted into a graduate program there that 40 me to study law and business at the same time. In my second year of graduate school, I began to realize that I’d 41 done anything but go to school. So, at 24 I decided to drop out. 42 , my parents didn’t think this was a great idea. But I felt strongly that you can’t 43 till you’re 65 to do what you want in life. I packed my stuff into a bus and headed for Colorado to become an instructor at Outward Bound. Three years later, I was ready to go back to 44 . I finished Harvard and got a highly-paid job at the Boston Consulting Group Still, after working there five years, I 45 , “Is this what I want to be doing when I’m 50?” At that time, Americans spent good money on beer in 46 quality. Why not make good beer for 47 ? I thought. I decided to give up my job to become 48 . When I told Dad, he was 49 , but in the end he 50 me. I called my beer Samuel Adams, 51 the brewer and patriot (爱国者) who helped to start the Boston Tea Party. 52 I sold the beer direct to beer drinkers to get the 53 out. Six weeks later, at the Great American Beer Festival, Sam Adams Boston Lager (淡啤酒) won the top prize for American beer. In the end I was destined (注定) to be a brewer. My 54 to the young is simple: Life is very 55 , so don’t rush to make decisions. Life doesn’t let you plan.
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